Vaginal Mesh Removal Surgery may not Cure Complications

May 21, 2014 — Surgery to remove vaginal mesh does not always fix complications like incontinence, and may make problems worse, according to two new studies presented at the annual meeting of the American Urological Association.

Conclusions of the first study were actually reassuring — at least for women whose only problem is chronic pain. After evaluating data on 123 women who had revision surgery to treat pain, over two-third were pain-free. After two or three years, most of the women also had less pain.

However, the second study was less reassuring. Researchers from the University of California Los Angeles (UCLA) looked at data on 214 women who had revision surgery three years earlier. They found that many of them still had serious problems:

One out of three women had moderate or severe pain.

28% had urinary leakage at least once a day.

Half of women had pain during sexual intercourse (dyspareunia).

The conclusions of the second study were limited because researchers sent surveys to 700 women and only one-third responded. However, they are not surprising — thousands of women have filed lawsuits after they developed incurable complications, such as chronic pain during sexual intercourse (dyspareunia).

The problem is that vaginal mesh is designed to become incorporated into tissues in a woman’s pelvis. When complications occur, surgery is often necessary to remove part of the mesh. However, it is often difficult or impossible to remove the mesh without causing even more severe problems.

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